Skip to content
PayByTown

Kentucky Medicaid and CHIP income limits, 2026

Kentucky expanded Medicaid, so Kentucky Medicaid covers adults 19 to 64 with income up to $1,836 a month for 1 person (138% of poverty). Children are covered up to $5,995 a month for a family of 4 (218%), and pregnant people up to $3,607 for a household of 2 (200%).

Medicaid expansion
Yes
Work requirement
By January 1, 2027
Last verified

Kentucky limits by group, as a percent of poverty

Kentucky Medicaid and CHIP income limits by coverage group
GroupLimit
Adults 19-64 (Medicaid expansion)138%
Parents and caretaker relativesBeing verified
Pregnant200%
Children under 19, highest limit (Medicaid or CHIP)218%

Percents include the 5% income disregard that Medicaid applies to modified adjusted gross income (MAGI), so the federal 133% standard shows as 138%. Older adults (65+) and people with disabilities have separate, non-MAGI rules not shown here.

Limits for children by age band (under 1, 1-5, 6-18) are being verified; the table shows the highest limit any child can qualify under.

Kentucky monthly income limits by household size

Kentucky Medicaid and CHIP monthly income limits by household size, 2026
Household sizeAdults 19-64 (138%)Pregnant (200%)Children under 19 (218%)
1 person$1,836$2,660$2,900
2 people$2,489$3,607$3,932
3 people$3,142$4,554$4,964
4 people$3,795$5,500$5,995
5 people$4,449$6,447$7,027
6 people$5,102$7,394$8,059
7 people$5,755$8,340$9,091
8 people$6,408$9,287$10,123

Percent x the 2026 HHS poverty guideline for the 48 contiguous states and DC / 12, rounded up. Kentucky's own chart may differ by a dollar; the state's chart decides. A pregnant woman counts each expected baby in the household size.

Medicaid work requirement in Kentucky

No later than January 1, 2027 for adults in the Medicaid expansion group, under federal law.

Exemptions in the federal law include parents and caretakers of a child 13 or younger or of a person with a disability, people who are pregnant or postpartum, people who are medically frail, veterans with a total disability rating, and people meeting TANF or SNAP work rules. Kentucky's Medicaid agency will say what you need to report.

Kentucky notes

  • Kentucky's CHIP is KCHIP, covering uninsured children up to 218% of poverty.
  • Kentucky's 2026 Medicaid table took effect April 1, 2026.

Other 2025 federal law changes

Public Law 119-21 did not change the income limits above. It changes who stays covered and how:

  • Fewer non-citizens qualify for federally funded coverage. Federal Medicaid and CHIP funding is limited to citizens, lawful permanent residents, Cuban and Haitian entrants and citizens of the Compact of Free Association nations. Other lawfully present immigrants, such as refugees and people granted asylum, lose federally funded coverage unless the state pays. From October 1, 2026.
  • Renewals every 6 months for expansion adults. Expansion adults must have their eligibility re-checked every 6 months instead of every year. Renewals from January 1, 2027.
  • Shorter retroactive coverage. Medicaid can pay medical bills from before you applied for only 1 month (expansion adults) or 2 months (everyone else), instead of 3. Applications from January 1, 2027.
  • Cost sharing for expansion adults above the poverty line. Expansion adults with income above 100% of poverty can be charged up to $35 per service, capped at 5% of family income. From October 1, 2028.

How to apply in Kentucky

  • Online: kynect
  • Kentucky Department for Medicaid Services: Kentucky Medicaid and KCHIP eligibility
  • You can apply any time of year. If your income is too high for Kentucky Medicaid, the same application can check you for a subsidized plan on HealthCare.gov or your state's marketplace. Only the Kentucky Department for Medicaid Services can decide eligibility.

Sources

  1. https://www.medicaid.gov/medicaid/national-medicaid-chip-program-information/medicaid-childrens-health-insurance-program-basic-health-program-eligibility-levels
  2. https://khbe.ky.gov/About/Documents/FPL-Chart.pdf
  3. HHS 2026 poverty guidelines
  4. Public Law 119-21 (2025)

Kentucky's chart and Medicaid.gov were compared field by field on ; page updated . We re-check every state each spring, after states adopt the new poverty guidelines. See how we verify benefits limits.